[NCSTLTPHIW] Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery

OMB 0920-0879

CDC requests an Extension to the Generic Clearance to continue to collect information related to domestic public health issues and services that affect state, tribal, local, and territorial STLT governmental entities.

The latest form for [NCSTLTPHIW] Information Collections to Advance State, Tribal, Local and Territorial (STLT) Governmental Agency System Performance, Capacity, and Program Delivery expires 2024-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
[PHIC/NCHHSTP] 2024 TB Training and Education Needs Assessment – The U.S.-affiliated Pacific Islands – Online Survey Form and Instruction
[PHIC/NCHHSTP] 2024 TB Training and Education Needs Assessment – The U.S.-affiliated Pacific Islands – Online Survey Form and Instruction
Form 0920-0879 [PHIC/NCEZID] Use and Acceptability of the Model Aquatic Health Code (2024) Form
Form 0920-0879 [PHIC/NCEZID] Use and Acceptability of the Model Aquatic Health Code (2024) Form
Form 0920-0879 [PHIC] Assessing Funded Overdose Data to Action (OD2A) Grantee Implementation and Impacts of Stop Overdose Campaigns Form and Instruction
Form 0920-0879 [PHIC] Assessing Funded Overdose Data to Action (OD2A) Grantee Implementation and Impacts of Stop Overdose Campaigns Form and Instruction
[PHIC] CDC Funded Recipient Experience Survey Form and Instruction
[PHIC] CDC Funded Recipient Experience Survey Form and Instruction
[PHIC] OT21-2103 Success Stories (2024-2026) Form and Instruction
[PHIC] OT21-2103 Success Stories (2024-2026) Form and Instruction
Form 0920-0879 [PHIC/NCIRD] Pediatric Hepatitis-Adenovirus Case Control Evaluation, United States 2022-2026 (24CN) Form and Instruction
Form 0920-0879 [PHIC/NCIRD] Pediatric Hepatitis-Adenovirus Case Control Evaluation, United States 2022-2026 (24CN) Form and Instruction
AttG4_SurveyExtensionEmail.docx Supplementary Document
AttG4_SurveyExtensionEmail.docx Supplementary Document
0920-0879 MAHC Change Request_10112024.docx Justification for No Material/Nonsubstantive Change
0920-0879 MAHC Change Request_10112024.docx Justification for No Material/Nonsubstantive Change
Attachment B - Approved GenICs under 0920-0879.docx Supplementary Document
Attachment B - Approved GenICs under 0920-0879.docx Supplementary Document
Attachment C - 60 Day Federal Register Notice.pdf Supplementary Document
Attachment C - 60 Day Federal Register Notice.pdf Supplementary Document
Attachment A - Public Health Service Act.pdf Supplementary Document
Attachment A - Public Health Service Act.pdf Supplementary Document
SSB 0920_0879 extension.docx Supporting Statement B
SSB 0920_0879 extension.docx Supporting Statement B
SSA 0920_0879_06142023_updated.docx Supporting Statement A
SSA 0920_0879_06142023_updated.docx Supporting Statement A
[PHIC/NCHHSTP] 2024 TB Training and Education Needs Assessment – The U.S.-affiliated Pacific Islands – Online Survey Form and Instruction
[PHIC/NCHHSTP] 2024 TB Training and Education Needs Assessment – The U.S.-affiliated Pacific Islands – Online Survey Form and Instruction
[PHIC/NCEZID] Use and Acceptability of the Model Aquatic Health Code (2024) Form
[PHIC/NCEZID] Use and Acceptability of the Model Aquatic Health Code (2024) Form
[PHIC] Assessing Funded Overdose Data to Action (OD2A) Grantee Implementation and Impacts of Stop Overdose Campaigns Form and Instruction
[PHIC] Assessing Funded Overdose Data to Action (OD2A) Grantee Implementation and Impacts of Stop Overdose Campaigns Form and Instruction
[PHIC] CDC Funded Recipient Experience Survey Form and Instruction
[PHIC] CDC Funded Recipient Experience Survey Form and Instruction
[PHIC] OT21-2103 Success Stories (2024-2026) Form and Instruction
[PHIC] OT21-2103 Success Stories (2024-2026) Form and Instruction
[PHIC/NCIRD] Pediatric Hepatitis-Adenovirus Case Control Evaluation, United States 2022-2026 (24CN) Form and Instruction
[PHIC/NCIRD] Pediatric Hepatitis-Adenovirus Case Control Evaluation, United States 2022-2026 (24CN) Form and Instruction

All Historical Document Collections

202410-0920-015	No material or nonsubstantive change to a currently approved collection	2024-10-16
202306-0920-009 Approved without change	Extension without change of a currently approved collection	2023-06-30
202011-0920-003	Extension without change of a currently approved collection	2020-11-30
201711-0920-012 Approved without change	Extension without change of a currently approved collection	2017-11-21
201708-0920-001 Withdrawn and continue	Extension without change of a currently approved collection	2017-08-28
201412-0920-011 Approved without change	Revision of a currently approved collection	2015-01-05
201402-0920-018 Approved without change	Revision of a currently approved collection	2014-02-28
201110-0920-004 Approved without change	No material or nonsubstantive change to a currently approved collection	2011-10-13
201102-0920-005 Approved with change	New collection (Request for a new OMB Control Number)	2011-02-02